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The Journal of Neuroscience, August 1, 1998, 18(15):5614-5629
Induction of Interleukin-1 Associated with Compensatory
Dopaminergic Sprouting in the Denervated Striatum of Young Mice: Model
of Aging and Neurodegenerative Disease
Angela
Ho and
Mariann
Blum
Fishberg Research Center for Neurobiology, Mount Sinai School of
Medicine, New York, New York 10029
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ABSTRACT |
Young mice challenged with the neurotoxin
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP), which selectively
destroys the substantia nigra dopaminergic neurons in the midbrain,
exhibit spontaneous recovery of dopaminergic nerve terminals. However, such recovery becomes attenuated with age. Here we report that newly
sprouted fibers originate from spared dopaminergic neurons in the
ventral tegmental area. We found that interleukin-1 (IL-1), an immune
response-generated cytokine that can enhance dopaminergic sprouting
when exogenously applied, increased dramatically in the denervated
striatum of young mice (2 months) compared with middle-aged mice (8 months) after MPTP treatment. Young mice displayed a maximal 500%
induction of IL-1 synthesis that remained elevated for
several weeks in the dorsal and ventral striatum, whereas middle-aged
mice exhibited a modest 135% induction exclusively in the dorsal
striatum for a week. IL-1 immunoreactivity was localized in
GFAP-immunoreactive hypertrophied astrocytes and neurons within the
denervated striatum of young mice. However, no induction of IL-1
mRNA was seen in the midbrain in either age group despite glial
activation. Because we have reported that IL-1 can regulate
astroglia-derived dopaminergic neurotrophic factors, it was surprising
that no changes were observed in acidic and basic fibroblast growth
factor or glial cell line-derived neurotrophic factor mRNA levels
associated with MPTP-induced plasticity of dopaminergic neurons in the
striatum of young mice. Interestingly, we found that dopaminergic
neurons express IL-1 receptors, thus suggesting that IL-1 could
directly act as a target-derived dopaminergic neurotrophic factor to
initiate or enhance the sprouting of dopaminergic axonal terminals.
These findings strongly suggest that IL-1 could play an important
role in MPTP-induced plasticity of dopaminergic neurons.
Key words:
IL-1; compensatory sprouting; dopaminergic neurons; growth factors; MPTP; Parkinson's disease; aging
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INTRODUCTION |
The mesostriatal dopaminergic system
plays an important role in the control of voluntary movement. This
system comprises midbrain dopaminergic cell groups and their
projections to the entire striatal complex that consists of a dorsal
and ventral component (Björklund and Lindvall, 1984 ). In the
rodent, the dorsal striatum (caudate-putamen) is innervated mainly by
dopaminergic neurons in the substantia nigra pars compacta (SN),
whereas the ventral striatum (nucleus accumbens and the olfactory
tubercle) receives projections from cells in the ventral tegmental area
(VTA) and the retrorubral area (Björklund and Lindvall, 1984 ).
Selective degeneration of the mesostriatal pathway leads to motor
impairments in Parkinson's disease (PD), which is characterized by the
loss of dopaminergic neurons in the SN that leads to a preferential
depletion in dopaminergic innervation of the dorsal striatum; however,
cells in the VTA and the retrorubral area are much less affected (Agid
et al., 1987 ; Hirsch et al., 1988 ; German et al., 1989 ; Hornykiewicz, 1993 ).
A neurotoxin, 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP), that
selectively destroys the SN dopaminergic cells has been used to produce
an animal model of PD (Langston, 1985 ; Singer and Ramsay, 1990 ). In
experimental animals, the neurodegenerative effects of MPTP are
age-dependent; that is, young mice show a substantial recovery of
striatal dopamine, whereas aged mice do not (Ricaurte et al., 1986 ,
1987a ,b ; Date et al., 1990a ). Thus, the dopaminergic cell system
exhibits compensatory mechanisms in response to injury, and the degree
of plasticity becomes reduced with age (Hornykiewicz, 1993 ). In this
report, we sought to determine the origin of dopaminergic fibers
responsible for the spontaneous axonal regrowth in the denervated
striatum of young mice. More importantly, we examined the cellular and
molecular events associated with the dopaminergic sprouting that occurs
selectively in the denervated striatum of young but not middle-aged
mice after MPTP treatment.
Glial cells play an integral role in the brain response to neuronal
injury and plasticity (Eddleston and Mücke, 1993 ; Moore and
Thanos, 1996 ). Injury to the brain elicits a sequence of morphological and biochemical events mediated by activated microglia that can release
inflammatory cytokines such as interleukin-1 (IL-1) (Giulian et al.,
1986 , 1987 , 1989 , 1990 ). IL-1, in turn, can stimulate reactive astrocytes and enhance the synthesis of neurotrophic factors
from astrocytes, thereby promoting axonal sprouting (Giulian and
Lachman, 1985 ; Giulian et al., 1988 ; Spranger et al., 1990 ; Araujo and
Cotman, 1992 ). It was shown that intrastriatal implantation of IL-1 can
enhance compensatory sprouting from residual dopaminergic neurons in
the VTA and can induce behavioral improvement in hemiparkinsonian rats
(Wang et al., 1994 ). Recently, we have reported that basic fibroblast
growth factor (bFGF) may be the putative dopaminergic neurotrophic
factor that mediates IL-1 lesion-induced plasticity of dopaminergic
neurons because intraventricular administration of IL-1 induces bFGF
gene expression (Ho and Blum, 1997 ).
In the present study, we investigated the potential role of IL-1 and
trophic factor activities in mediating the spontaneous dopaminergic
sprouting in the denervated striatum of young but not middle-aged mice
after MPTP treatment. We hypothesized that perhaps in the aging brain,
the ability to induce growth-promoting molecules such as IL-1 and the
subsequent induction of trophic factor synthesis declines with age. An
understanding of the cascade of cytokine and trophic factor activities
could provide insights into basic mechanisms of aging and their
relationship to the process of dopaminergic cell death in PD.
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MATERIALS AND METHODS |
Drug administration. Male C57BL/6 mice (Harlan
Sprague Dawley, Indianapolis, IN) of two different age groups were
used: 8 weeks (young) and 8 months (middle-aged) of age. MPTP
hydrochloride (Research Biochemicals, Natick, MA) was administered
subcutaneously. Young mice received a single dose of MPTP at 55 mg/kg,
and middle-aged mice received a single dose at 40 mg/kg. These doses
were selected based on titration studies that produced comparable
initial depletions of dopamine uptake in the striatum of young and
older mice. Age-matched controls received saline. Animals were killed
at 4, 8, 14, 21, and 30 d after the lesion along with their
age-matched controls (n = 4-5/group). All animal
experiments were conducted according to the Guidelines for the
Care and Use of Experimental Animals, using protocols approved by
the Institutional Animal Care and Use Committee at Mount Sinai School
of Medicine (95-300NB).
[3H]Dopamine uptake. Animals were
decapitated, and the brains were quickly removed and placed into cold
sterile saline. The dorsal and ventral striatum were dissected, and the
anterior commissure was used as an anatomical landmark to distinguish
between the dorsal and ventral striatum. Tissue above the anterior
commissure was removed bilaterally and collected for the dorsal
striatum, whereas tissue below the anterior commissure was collected
for the ventral striatum. Tissues were homogenized in 500 µl of
ice-cold prelysis buffer (10 mM Tris, pH 7.5, and 0.32 M sucrose) using a Teflon pestle-glass mortar pair as
described by Roffler-Tarlov et al. (1990) . Homogenized tissue (100 µl) was removed and centrifuged for 10 min at 1000 × g at 4°C to remove nuclei. The supernatant containing the
synaptosomes was collected, and aliquots were removed for the
determination of protein concentration and dopamine uptake (total
high-affinity and mazindol noninhibitable). Fifty microliters of
supernatant were diluted in 450 µl of Krebs-Ringer phosphate buffer
(0.1 M) with added EDTA (1.3 mM), glucose (5.6 mM), and ascorbic acid (0.2 mg/ml) and incubated at 37°C
in the presence or absence of 10 µM mazindol (Research
Biochemicals), a high-affinity dopamine uptake inhibitor.
[3H]Dopamine (specific activity, 20-40 Ci/mmol;
Amersham, Arlington Heights, IL) was added to a final concentration of
0.025 µM, and incubation was at 37°C for 6 min.
Synaptosomes were collected on presoaked nitrocellulose filters by
filtration, and nonspecific radioactivity was washed with Krebs-Ringer
phosphate buffer followed by filtration. The filters were then
transferred into scintillation vials of Hionic-fluor and measured by
liquid scintillation spectrometry. Specific high-affinity neuronal
dopamine uptake was expressed as femtomoles of dopamine uptake per
microgram of protein minus the femtomoles of mazindol uptake. Values
are presented as the change in dopamine uptake (expressed as percent of
control).
Immunocytochemistry. Animals were anesthetized with Rompun
xylazine and Ketaset (1:1) and killed by intracardiac perfusion with
1% paraformaldehyde in 0.15 M phosphate buffer, pH 7.2 (PBS), followed by 4% paraformaldehyde. Brains were post-fixed for 5 hr at 4°C and cryoprotected with 30% sucrose. Tissues were frozen with ornithine carbamyl transferase (Tissue Tek, Torrance, CA) embedding medium immersed in a dry-ice-chilled isopentane bath. Thirty
micrometer coronal sections were cut using a cryostat and were
processed for immunocytochemistry. Sections were incubated in blocking
buffer (0.3% Triton X-100 and 3% goat serum in PBS) for 30 min,
followed by an overnight incubation with primary antibodies to tyrosine
hydroxylase (rabbit polyclonal anti-TH, 1:500; Pel-Freeze Biologicals,
Rogers, AR), glial fibrillary acidic protein (rabbit polyclonal
anti-GFAP, 1:50; Biomeda, Foster City, CA), or microglia (rat
monoclonal anti-Mac-1, 1:50; Boehringer Mannheim, Indianapolis, IN) in
blocking buffer at 4°C. Sections were then washed three times for 10 min each with PBS and incubated in biotinylated anti-rabbit IgG to
detect TH and GFAP (1:200; Vector Laboratories, Burlingame, CA) or rat
IgG to detect Mac-1 (1:200; Amersham) for 2 hr at room temperature.
Sections were washed and then incubated in ExtraAvidin (1:200; Sigma,
St. Louis, MO) for 1 hr at room temperature. Sections were washed and
processed with 0.05% 3,3'-diaminobenzidine tetrachloride (Sigma) with
0.003% H2O2. After processing, sections were
washed, mounted on coated slides, dried, dehydrated through graded
alcohols, cleared in xylene, and coverslipped in DPX mountant
medium (Electron Microscopy Sciences, Fort Washington, PA).
Double immunolabeling. Young mice lesioned with MPTP and
killed at 8 d along with saline-matched control were processed for combined fluorescence immunocytochemistry for IL-1 (rabbit
polyclonal anti-mouse IL-1 , 1:400; Genzyme, Cambridge, MA) and GFAP
(mouse monoclonal anti-GFAP, 1:50; Boehringer Mannheim), IL-1 and
Mac-1, IL-1 and Neu N (mouse monoclonal anti-neuronal nuclei, 1:500; Chemicon International, Temecula, CA), and IL-1 receptor (rat monoclonal anti-IL-1 receptor, 1:400; Genzyme) and TH. Sections were
incubated in blocking buffer (0.1% saponin and 3% goat serum in PBS)
for 30 min, followed by an overnight incubation of primary antibody in
blocking buffer at 4°C. IL-1 was visualized by incubation with
anti-rabbit IgG directly conjugated to fluorescein (1:200; Vector
Laboratories), whereas GFAP, Mac-1, and Neu N immunoreactivity was
reacted to appropriate biotinylated secondary antibodies [anti-mouse IgG to detect GFAP and Neu N (1:200; Vector Laboratories) and anti-rat
IgG to detect Mac-1 (1:200; Amersham)] for 2 hr followed by incubation
in streptavidin conjugated to rhodamine (1:500; Molecular Probes,
Eugene, OR). For IL-1 receptor and TH immunoreactivity, TH was
visualized by incubation with anti-rabbit IgG directly conjugated to
fluorescein, whereas IL-1 receptor was reacted to biotinylated
anti-mouse IgG for 2 hr followed by incubation in streptavidin
conjugated to rhodamine. After processing, sections were mounted on
coated slides, dried, and coverslipped in Permafluor (Lipshaw,
Pittsburgh, PA) mounting medium.
Retrograde labeling. To detect degeneration of dopaminergic
neurons after MPTP lesion and to identify the cellular origin of the
sprouted fibers in the dorsal striatum, we used young mice before MPTP
lesion or treated after 30 d with saline and MPTP, respectively.
Animals were anesthetized with avertin at 287.5 mg/kg (stock of
2,2,2-tribromoethanol at 12.5 mg/ml; Aldrich, Milwaukee, WI), injected
intraperitoneally. The mice were placed on a stereotaxic device (David
Kopf Instruments, Tunjunga, CA). A burr hole was drilled on the right
side of the skull to accommodate injection. Stereotaxic injections of
0.35 µl of fluorescent latex microsphere "beads," a retrograde
neuronal tracer (Lumafluor Inc., Naples, FL), were made into the dorsal
striatum using a 1 µl Hamilton syringe (Hamilton, Reno, NE).
Coordinates were located 2.7 mm caudal to the frontal nasal suture, 2.0 mm lateral from the midline suture, and 2.5 mm from the surface of the
brain. The injection was made at a rate of ~0.05 µl/min, and the
needle was left in place for 5 min after injection. By volumetric
measurement, ~10% of the lesioned area in the dorsal striatum
received injections of microspheres. To detect degeneration of
dopaminergic neurons, we killed the animals 8 d after MPTP lesion
(n = 3/group) and processed the animals for TH and
Mac-1 immunoreactivity. TH and Mac-1 were visualized by incubation with
anti-rabbit and anti-rat IgG directly conjugated to fluorescein,
respectively, and were visualized with a laser scanning confocal
microscope (LSM 410; Zeiss, Oberkochen, Germany). To identify
the cellular origin of the sprouted fibers in the dorsal striatum 1 month after the lesion, we killed animals 7 d after tracer
injection (n = 5/group) and processed the animals for
TH immunoreactivity that was visualized by incubation with anti-rabbit
IgG directly conjugated to fluorescein.
Intrastriatal stab wound. Male C57BL6 mice (Harlan Sprague
Dawley) at 8 weeks (young-adults) and 8 months (middle-aged) of age
were anesthetized with avertin at 287.5 mg/kg, injected
intraperitoneally. The mice were placed on a stereotaxic device. A burr
hole was drilled on the right side of the skull, and a 1 µl Hamilton
syringe was placed into the dorsal striatum. Coordinates were
located 2.7 mm caudal to the frontal nasal suture, 2.0 mm lateral from the midline suture, and 2.5 mm from the surface of the brain. The
needle was left in place for 5 min. Animals were killed at 4 and 8 d after the lesion (n = 4-5/group).
Isolation of cDNA clones. The IL-1 and IL-1 cDNA
clones were generously provided by Dr. A. Shaw of Glaxo from
which 400 and 200 base pair fragments were subcloned into vector pGEM,
respectively. The acidic FGF (aFGF) cDNA clone was isolated by
PCR of mouse striatal cDNA from which a 350 base pair fragment
corresponding to nucleotides 33-384 was subcloned into Bluescript II.
The bFGF cDNA clone was generously provided by Dr. S. Shimasaki from
which a 479 base pair fragment corresponding to nucleotides 525-1004 was subcloned into vector Bluescript/SK+. The glial
cell line-derived neurotrophic factor (GDNF) cDNA clone was
isolated by PCR of rat genomic DNA from which a 414 base pair PCR
DNA fragment was subcloned into Bluescript II.
Quantitative solution hybridization nuclease protection
assay. Unlabeled sense and high specific activity (~1 × 109 cpm/µg) 32P-labeled antisense RNAs
were transcribed. A standard curve of 0-10 µl of 100 fg/µl sense
RNA was used for quantitation. The standard and known amounts of
cytoplasmic RNA isolated were hybridized with ~200 pg of antisense
32P-labeled RNA probe. Samples were heat-denatured at
85°C for 5 min and hybridized overnight at 45°C. After
hybridization, samples were RNase A- (5 µg/ml) and RNase T1- (2 µg/ml) treated for 1 hr at 30°C, followed by proteinase K (0.167 mg/ml) digestion at 37°C for 15 min. Samples were phenol and
chloroform extracted, precipitated, resuspended in 1×
Tris-EDTA, and electrophoresed on a nondenaturing 5% acrylamide
gel. Gels were dried and quantitated by phosphorimage analysis. Results
were determined by linear regression analysis from the standard curve
and presented as amoles of mRNA/µg of total RNA.
Statistical analysis. Significant differences in IL-1 ,
IL-1 , aFGF, bFGF, and GDNF mRNA levels between control and MPTP
treatment groups were analyzed using ANOVA followed by Fisher's
protected least significant difference post hoc analysis.
The level of significance was set at p < 0.05.
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RESULTS |
Young mice have the ability to recover after MPTP-induced toxicity
of dopaminergic neurons, whereas middle-aged mice do not
Neurochemical assessment
High-affinity synaptosomal dopamine uptake is a sensitive
quantitative indicator of dopaminergic axonal terminal density. As
shown in Figure 1, determination of
dopamine uptake at various times after MPTP treatment revealed an
initial comparable loss in dopamine uptake levels in both age groups in
the dorsal as well as in the ventral striatum. In the dorsal striatum,
we found that MPTP produced a significant reduction in dopamine uptake levels at 4 d after MPTP in young and middle-aged mice (59 and 41% of control, respectively; Fig. 1A). A reduction
in dopamine uptake levels in the dorsal striatum was still observed at
8 and 14 d in both age groups. However, between 14 and 30 d,
a significant recovery in dopamine uptake levels was observed in young
mice. Dopamine uptake levels increased to 87% of control levels after MPTP treatment in the dorsal striatum of young mice, whereas older mice
did not exhibit such recovery. Thus, we found, in accordance with
others (Ricaurte et al., 1987a ), that young mice but not middle-aged
mice showed substantial recovery of striatal dopaminergic nerve
terminals in the dorsal striatum within 1 month.

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Figure 1.
[3H]Dopamine uptake after MPTP
treatment in the dorsal (A) and ventral
(B) striatum of young and middle-aged mice at 4, 8, 14, 21, and 30 d after the lesion. Values are presented as the
change in dopamine uptake (expressed as percent of control ± SEM)
for n = 4-5 animals per group. The solid
line represents young mice treated with a single dose of MPTP
at 55 mg/kg, and the dotted line represents middle-aged
mice treated with a single dose of MPTP at 40 mg/kg.
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Because it has been thought that recovery in the dorsal striatum could
arise from spared fibers in the ventral striatum (Gilad and Reis, 1979 ;
Hansen et al., 1995 ; Blanchard et al., 1996 ), it was important to
determine whether the loss and recovery of dopamine uptake levels in
the ventral striatum differ between young and middle-aged animals after
MPTP treatment. In the ventral striatum, we observed that MPTP produced
a significant reduction in dopamine uptake levels at 4 and 8 d in
both young and middle-aged mice (Fig. 1B). In young
mice, dopamine uptake levels in the ventral striatum recovered between
8 and 30 d after MPTP treatment, increasing to a level that was
greater than that of control values at 14 and 21 d (111 to 137%
of control, respectively). By 30 d after MPTP treatment, dopamine
uptake levels returned to 85% of control levels in young mice. In
middle-aged mice treated with MPTP, recovery of dopamine uptake levels
was also seen in the ventral striatum. The recovery occurred 1 week
later compared with that in young mice between 14 and 30 d.
Similar to young mice, middle-aged mice showed a greater increase in
dopamine uptake levels at 21 d compared with levels observed at
30 d after the lesion. The recovery in dopamine uptake levels in
the ventral striatum exhibited by both age groups in which the increase
was greater than that of control levels after MPTP treatment suggests
that there may be a transient increase in the affinity or the number of
dopamine uptake sites per terminal.
Morphological assessment
An antibody directed to TH, an enzyme involved in dopamine
biosynthesis, is a marker for catecholamine neurons. TH
immunocytochemistry revealed a marked disappearance of
TH-immunoreactive (TH-IR) fibers in the dorsal striatum of both young
and middle-aged mice as early as 4 d after MPTP treatment (Fig.
2B,G),
compared with that in age-matched controls (Fig.
2A,F). No marked reduction
in TH-IR fibers was seen in the ventral striatum of young mice after
MPTP treatment. However, in middle-aged mice, a modest reduction in TH-IR fibers was observed in the ventral striatum compared with that in
saline-treated animals at 4 d after MPTP treatment that appeared
to recover in TH expression at later time points. A significant loss of
TH-IR fibers in the dorsal striatum was still observed at 8 d
after MPTP treatment in both age groups (Fig.
2C,H). However, in the dorsal
striatum of young mice, a progressive recovery of TH-IR fibers was
observed starting at 14 d (Fig. 2D), reaching a
nearly normal staining pattern by 30 d after MPTP treatment (Fig.
2E). In contrast, middle-aged mice did not show such
an apparent recovery (Fig.
2I,J).

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Figure 2.
TH immunocytochemistry in the striatum of
young (A-E) and middle-aged
(F-J) mice after saline treatment and
MPTP treatment at 4, 8, 14, and 30 d. MPTP caused a marked
disappearance of TH-IR fibers in the dorsal striatum of both age
groups; however a progressive recovery of TH-IR fibers was observed
between 14 and 30 d after MPTP treatment (D,
E) in young mice compared with that in middle-aged mice
that did not show such apparent recovery. Scale bar, 500 µm.
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Dopaminergic cell loss after MPTP treatment
To examine the neurodegenerative effects of MPTP on dopaminergic
cell bodies in young and middle-aged mice, we assessed midbrain sections immunostained with TH antiserum. TH immunocytochemistry revealed a significant depletion of TH-IR cell bodies in the SN of both
age groups as early as 4 d after MPTP treatment (Fig. 3B,G).
In contrast, no marked reduction in TH-IR cell bodies was seen in the
VTA compared with that in age-matched controls (Fig. 3A,F). A significant loss of
TH-IR cells in the SN remained evident weeks after MPTP treatment in
both age groups (Fig. 3C-E, H-J). At
30 d after MPTP treatment, although a significant depletion of
TH-IR cells was found compared with that in saline-treated animals, a
modest return of TH expression in the SN was observed in young mice
(Fig. 3E). This result indicates that in young mice, some of
the dopaminergic neurons may survive the MPTP insult and the transient
decrease in TH expression returns as reported by other investigators
(Kitt et al., 1986 ; Sundström et al., 1988 ).

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Figure 3.
TH immunocytochemistry in the midbrain of young
(A-E) and middle-aged
(F-J) mice after saline treatment and
MPTP treatment at 4, 8, 14, and 30 d. MPTP produced a significant
loss of TH-IR cell bodies in the SN but not in the VTA of both age
groups compared with that in age-matched controls (A,
F). Scale bar, 200 µm.
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The use of TH-IR neuronal counts has not been a reliable method to
measure for MPTP-induced degeneration of dopaminergic neurons. It was
shown that MPTP can cause a loss in TH expression without producing
neuronal death (Jackson-Lewis et al., 1995 ). To determine whether SN
dopaminergic neurons are in fact degenerating after MPTP treatment, we
prelabeled SN cells with fluorescent microspheres in young mice before
MPTP administration. Young mice were used because they have been
suggested to be less sensitive to MPTP-induced toxicity than are
middle-aged mice (Ricaurte et al., 1986 ). The animals were killed
8 d after saline and MPTP treatment, and midbrain sections were
reacted with antibodies to TH and Mac-1, a microglia marker specific
for the mouse (Springer et al., 1979 ; Beller et al., 1982 ). In
saline-treated mice, retrogradely transported fluorescent microspheres
labeled the cell body of a subpopulation of TH-IR neurons in the SN
(Fig.
4A,B).
In MPTP-treated mice, although some fluorescent microspheres were found
in TH-IR neurons, they were also found to be aggregated and scattered
throughout the SN (Fig. 4C). Mac-1-IR cells with
internalized fluorescent microspheres were found at the level of the SN
cell bodies, suggesting that microglia are phagocytosing degenerating
SN dopaminergic neurons (Fig. 4D).

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Figure 4.
Dopaminergic neuronal degeneration in young mice
at 8 d after MPTP treatment. A, B,
Confocal images of TH-IR cell bodies (A) in the
SN retrogradely labeled with microspheres (B) in
a saline-treated animal. Arrows are in
register and show the same location within the same field of
view for A and B, indicating that labeled
microspheres are within TH-IR cell bodies. C,
D, Confocal images showing the distribution of labeled
microsphere aggregates (C) and Mac-1-IR
microglial cells (D) within the SN of a
MPTP-treated animal. Arrows are in
register and show the same location within the same field of
view for C and D, indicating that
Mac-1-IR microglial cells are internalizing the labeled microspheres
and suggesting that they are phagocytosing degenerating dopaminergic
neurons. Scale bar, 25 µm.
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Collateral sprouting of dopaminergic terminals arises from
the VTA
To identify the cellular origin of the sprouted fibers in the
dorsal striatum of young mice after MPTP-induced injury, we injected
fluorescent microspheres into the dorsal striatum of saline- and
MPTP-treated animals at 30 d after the lesion when recovery of
dopamine uptake levels and TH-IR fibers was observed (Fig.
5A,D).
The animals were killed 7 d after tracer injection, and the
midbrain was reacted with the antibody to TH. In saline-treated mice,
we found a majority (95 ± 0.595%) of cells retrolabeled with
microspheres colocalized with TH-IR neurons in the SN (Fig. 5B,C). In MPTP-treated mice, we
observed 87 ± 1.231% of cells retrolabeled with microspheres
colocalized with TH-IR neurons in the VTA, thus suggesting that
recovery of the dorsal striatum is mainly attributable to collateral
sprouting of axonal fibers in the ventral striatum (Fig.
5E,F). However, because the
injection of the retrograde tracer was made to a localized area and
does not represent the entire dorsal striatum, we cannot exclude that remaining SN dopaminergic neurons can also contribute to compensatory sprouting in the denervated striatum.

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Figure 5.
Collateral sprouting of dopaminergic axonal fibers
arise from the VTA in young mice. A, D,
Injection sites of fluorescent microspheres into the dorsal striatum of
saline- (A) and MPTP-treated
(D) mice are shown. B,
C, In a saline-treated animal, fluorescent microspheres
(B) were found to colocalize with TH-IR neurons
(C) in the SN. E,
F, In a MPTP-treated animal, fluorescent microspheres
(E) were found to colocalize with TH-IR
neurons (F) in the VTA, indicating that
most of the sprouting fibers were arising from dopaminergic neurons in
the VTA. Arrows are in register and show
the same location within the same field of view. Scale bar, 200 µm.
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Glial activation
MPTP produces a glial reaction in young mice after MPTP treatment
(Francis et al., 1995 ; Czlonkowska et al., 1996 ). However, glial
responses after MPTP have not been investigated in middle-aged mice.
Furthermore, studies have shown that the reactive glial response to
neuronal injury slows with age (Hoff et al., 1982a ,b ; Goss et al.,
1991 ). To investigate whether there were differences in glial responses
in young compared with middle-aged mice after MPTP treatment, we
reacted striatum and midbrain sections at various times after the
lesion with antibodies to Mac-1 and GFAP.
Microglial reaction
Induction of a microglial reaction in the denervated striatum
(confined mainly to dorsal striatum) and the midbrain (confined at the
level of the dopaminergic cell bodies in the SN) was seen as early as
4 d after the lesion in both age groups compared with age-matched
controls (Fig. 6). A difference in the
morphology of microglial cells as compared with that in an age-matched
control was observed in both young and middle-aged mice. In
MPTP-treated mice, the microglia exhibited stronger Mac-1 labeling,
larger cell bodies, and thicker, less ramified processes compared with that in saline-treated animals (see Fig. 9H).
In young mice, maximal activation of microglial cells in the striatum
was observed at 8 d after the lesion, and by 14 d, activated
microglial cells were no longer found (Fig.
6C,D). In middle-aged mice, maximal activation of microglial cells in the striatum was observed at 4 d
after the lesion (Fig. 6F); by 8 and 14 d, a
modest activation of microglial cells was still visible (Fig.
6G,H). In the midbrain, the peak of
change in microglial reaction also occurred faster in middle-aged mice,
as early as 4 d after the lesion compared with young mice in which
the peak change was observed at 8 d (Fig. 6I-K,M-O). By 14 d, activated
microglial cells in the midbrain of young mice were no longer found;
however, some scattered activated microglial cells were still seen in
the midbrain of middle-aged mice (Fig.
6L,P).

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Figure 6.
Microglial cells immunoreactive for Mac-1 in the
striatum (A-H) and midbrain
(I-P) of young and middle-aged mice after saline
and MPTP treatment. A, E, Striatum of
young and middle-aged saline-treated mice, respectively.
B-D, F-H, Striatum of young and
middle-aged mice at 4, 8, and 14 d after MPTP treatment,
respectively. I, M, Midbrain of young and
middle-aged saline-treated mice, respectively. J-L,
N-P, Midbrain of young and middle-aged mice at 4, 8, and 14 d after MPTP treatment, respectively. Scale bar, 200 µm.
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Astroglial reaction
In both age groups compared with age-matched controls,
immunolabeling for GFAP was dramatically increased in the striatum and
midbrain as early as 4 d after the lesion (Fig.
7). GFAP-IR astrocytes became
hypertrophic, and they exhibited an enlarged cell body and shortened,
swollen processes (see Fig. 9F). Maximal activation
of astroglial cells in the striatum and midbrain occurred faster in
middle-aged mice, as early as 4 d after the lesion (Fig. 7F,N), compared with young
mice in which peak changes were observed at 8 d (Fig.
7C,K). By 14 d, GFAP-IR cells
were no longer observed in the striatum of young mice (Fig.
7D); however, an increase in GFAP-IR cells remained
distributed in the striatum of middle-aged mice (Fig.
7H). In the midbrain, a modest induction of
hypertrophic astrocytes was still found at 14 d after MPTP
treatment in both age groups (Fig.
7L,P). These results indicate that
differences in glial reaction after MPTP exist between young and
middle-aged mice and that the reactive glial response was not delayed
with age. In fact, middle-aged mice produced a faster and sustained glial response for 2 weeks compared with that in young mice after MPTP
treatment.

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Figure 7.
Astroglial cells immunoreactive for GFAP in the
striatum (A-H) and midbrain
(I-P) of young and middle-aged mice after saline
and MPTP treatment. A, E, Striatum of
young and middle-aged saline-treated mice, respectively.
B-D, F-H, Striatum of young and
middle-aged mice at 4, 8, and 14 d after MPTP treatment,
respectively. I, M, Midbrain of young and
middle-aged saline-treated mice, respectively. J-L,
N-P, Midbrain of young and middle-aged mice at 4, 8, and 14 d after MPTP treatment, respectively. Scale bar, 200 µm.
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|
Induction of IL-1 mRNA is correlated with compensatory sprouting in
the denervated striatum of young mice
IL-1 exists in two structurally distinct forms, IL-1 and
IL-1 , both of which recognize the same receptor and have similar biological activities (March et al., 1985 ). To determine whether IL-1
is regulated in response to MPTP and to examine whether age influences
the regulation of IL-1, we analyzed tissues from the same animals used
for dopamine uptake analysis for IL-1 and IL-1 mRNA changes by
RNase protection assay. As a positive control for IL-1 and IL-1
changes after MPTP treatment, total RNA from intrastriatal stab wounds
of both age groups was used because both the and the forms have
been shown to increase after stab injury (Giulian and Lachman, 1985 ).
In the dorsal striatum of young mice after MPTP treatment, IL-1 mRNA
was significantly increased at 4 d and was maximally induced at
8 d after the lesion (518% of control; Fig.
8A). After 14 d,
IL-1 mRNA remained significantly elevated, and by 30 d, IL-1
returned to control levels in the dorsal striatum of young mice. In the
dorsal striatum of middle-aged mice after MPTP treatment, only a modest
increase was observed at 4 and 8 d after the lesion (130 and 135%
of control, respectively; Fig. 8B). After 14 d, IL-1 returned to control levels in the dorsal striatum of
middle-aged mice after MPTP treatment. Activation of IL-1 synthesis
in response to intrastriatal stab injury was similar in both age
groups. Young mice that received intrastriatal stab wound injury
revealed 306 and 287% of the control induction at 4 and 8 d after
the lesion, respectively (Fig. 8A). Similarly,
middle-aged mice revealed 252 and 192% of the control increase at 4 and 8 d after the lesion, respectively, after stab injury (Fig.
8B). These results indicate that the ability to
induce IL-1 synthesis in the dorsal striatum after MPTP dramatically
declines with age; however, this strictly depends on the nature
of the injury.

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Figure 8.
Quantitative analysis of IL-1 mRNA in the
dorsal (A, B) and ventral
(C, D) striatum and the midbrain
(E, F) of young and middle-aged
mice after saline and MPTP treatment at different days after the
lesion. The solid lines with open circles
represent saline-treated animals, dotted lines with
open squares represent MPTP-treated animals, and
solid lines with closed diamonds
represent animals that received intrastriatal stab wounds. Values
represent the mean ± SEM for n = 4-5 animals
per group. Levels of statistical significance were set to
*p < 0.05, **p < 0.005, and
***p < 0.001, indicating differences from an
age-matched control.
|
|
Similar to the induction seen in the dorsal striatum of young
MPTP-treated mice, an increase in IL-1 mRNA in the ventral striatum
was also seen at 4 d and was maximal at 8 d after the lesion
(501% of control; Fig. 8C). After 14 and 30 d, IL-1
mRNA remained significantly elevated. However, in middle-aged mice, no
changes in IL-1 mRNA were observed in the ventral striatum (Fig.
8D). The enhanced and extended activation of IL-1
synthesis seen both in the dorsal and ventral striatum of young but not middle-aged mice seems best to correlate with the time when
MPTP-induced plastic changes are occurring in young mice.
Although significant changes in IL-1 were observed after MPTP
treatment, we did not observe any changes in IL-1 mRNA in either the
dorsal or ventral striatum of either age group (data not shown).
However, IL-1 mRNA was significantly increased in both age groups
after intrastriatal stab wound injury. The selective activation seen in
the form but not the form after MPTP treatment suggests that
the type of injury-induced damage to the brain may elicit a difference
in the IL-1 response.
Because we found microglial activation and an astrocytic response at
the site of degenerating cell bodies, we next evaluated whether there
were changes in IL-1 mRNA in the midbrain after MPTP lesion. In both
age groups, no induction of IL-1 mRNA was observed in the midbrain
of MPTP-treated mice compared with age-matched controls (Fig.
8E,F). Instead, middle-aged
mice exhibited a significant decrease in IL-1 mRNA at 8 and 14 d after MPTP treatment (Fig. 8F). These results
suggest that the activation of IL-1 in response to MPTP is region
specific.
Cellular source of increased IL-1 expression
Activated microglia have been shown to be a principal source of
IL-1, although there is evidence that astrocytes as well as neurons can
synthesize IL-1 (Fontana et al., 1982 ; Giulian, 1987 ; Breder et al.,
1988 ; Hetier et al., 1988 ; Lechan et al., 1990 ; Tchelingerian et al.,
1993 ). To identify the cellular source of IL-1 in our MPTP-lesion
model, we performed double-labeling immunocytochemistry on the striatum
of young mice at 8 d after the lesion, when IL-1 mRNA was
detected at its maximal level, using antibodies to IL-1 in
combination with either Neu N, a specific marker of neuronal nuclei,
GFAP, or Mac-1. In saline-treated young mice, we found faint
perinuclear localization of IL-1 in Neu N-IR cells (Fig. 9A,B).
However, in MPTP-treated mice, we observed perinuclear and cytoplasmic
staining of IL-1 in Neu N-IR cells (Fig.
9C,D) as well as colocalization of IL-1
and GFAP-IR hypertrophic astrocytes scattered throughout the denervated
striatum (Fig. 9E,F).
Colocalization of IL-1 and Mac-1-IR microglial cells was not
observed in these MPTP-treated animals (Fig.
9G,H). These results indicate that hypertrophic astrocytes and neurons are most likely the cellular sources of increased IL-1 expression in the striatum of young mice
after MPTP-induced lesion.

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Figure 9.
Cellular source of IL-1 in the striatum of
young mice at 8 d after saline and MPTP treatment.
A, B, Colocalization of IL-1
(A) and Neu N-IR neurons
(B) in a saline-treated animal. C,
D, Colocalization of IL-1 (C)
and Neu N-IR neurons (D) in an MPTP-treated
animal. E, F, Colocalization of IL-1
(E) and GFAP-IR astroglial cells
(F; labeled with arrows in
E, F) in an MPTP-treated animal.
G, H, IL-1 (G)
and Mac-1-IR cells (H; labeled with
arrows in G, H)
showing that IL-1 expression was not distributed in Mac-1-IR
microglial cells. Scale bar, 25 µm.
|
|
No change in endogenous dopaminergic neurotrophic factor
gene expression
Because we and others have reported that intraventricular
administration of IL-1 can induce neurotrophic factor gene expression (Spranger et al., 1990 ; Rivera et al., 1994 ; Ho and Blum, 1997 ), we
wanted to examine whether changes in dopaminergic neurotrophic factor
gene expression mediate the MPTP-induced plasticity of dopaminergic
neurons. Among the trophic factors expressed in the brain, aFGF, bFGF,
and GDNF are well-characterized dopaminergic neurotrophic
factors that can enhance the sprouting of dopaminergic fibers after a
neurotoxic damage and can be produced by astrocytes (Date et al.,
1990b ; Otto and Unsicker, 1990 ; Tomac et al., 1995 ). To investigate a
potential role for these astroglia-derived dopaminergic neurotrophic
factors in MPTP-induced plasticity of dopaminergic neurons, we
quantified aFGF, bFGF, and GDNF mRNA in the striatum using RNase
protection assay. No changes in aFGF and bFGF mRNA were found in the
dorsal and ventral striatum of either age group (Fig.
10). In addition, no changes in GDNF
mRNA were found in the dorsal striatum of young mice after MPTP
treatment (Fig. 10C).

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Figure 10.
Quantitative analysis of dopaminergic
neurotrophic factor synthesis in the striatum of young and middle-aged
mice at different times after MPTP treatment. The solid
lines represent young MPTP-treated mice, and the dotted
lines represent middle-aged MPTP-treated mice. Values are
presented as the change in mean as expressed in percent control ± SEM for n = 4-5 animals per group.
A, D, Changes in aFGF mRNA in the dorsal
(A) and ventral (D)
striatum. B, E, Changes in bFGF mRNA in
the dorsal (B) and ventral
(E) striatum. C, Changes in GDNF
mRNA levels in the dorsal striatum of young MPTP-treated mice.
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|
Localization of IL-1 receptor in TH-IR neurons
Because we observed an induction of IL-1 in the striatum of
young mice treated with MPTP and no change in any of the
astroglia-derived dopaminergic neurotrophic factors analyzed, we
examined whether IL-1 could be acting directly on dopaminergic
neurons to induce sprouting of axonal fibers. To assess this, we
examined the expression of IL-1 receptor on these neurons.
Double-labeling immunocytochemistry was performed in saline- and
MPTP-treated young mice at 8 d after the lesion with antibodies to
IL-1 receptor and TH. In saline-treated mice, IL-1 receptor expression
was colocalized with TH-IR cell bodies in the SN and VTA throughout the
midbrain (Fig.
11A,B). After MPTP treatment, IL-1 receptor expression remained colocalized with TH-IR neurons in the VTA and scattered TH-IR cells in the SN (Fig.
11C,D). IL-1 receptor-positive/TH-negative
profiles within the midbrain were also observed. These results indicate
that IL-1 may act as a target-derived neurotrophic factor that
enhances the plasticity of dopaminergic fibers after MPTP-induced
injury.

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Figure 11.
TH-IR cell bodies in the midbrain contain IL-1
receptor in saline- and MPTP-treated young mice. A,
B, Colocalization of TH-IR neurons
(A) with IL-1 receptor expression
(B) distributed in the SN and VTA of a
saline-treated animal. Upper right-hand
panels are high-power magnification of the representative
box outlined in the SN. C,
D, Colocalization of TH-IR neurons in the VTA
(C) with IL-1 receptor expression
(D) of a MPTP-treated animal. Scale bars:
A-D, 200 µm; high-power magnifications, 50 µm.
|
|
 |
DISCUSSION |
Our data are consistent with observations that young mice after
MPTP treatment showed a significant recovery of dopaminergic nerve
terminals in the dorsal striatum, whereas middle-aged mice did not. In
this report, we demonstrated that spared dopaminergic neurons in the
VTA were the predominant source of axonal afferents reinnervating the
denervated striatum of young mice. Moreover, because significant
recovery of dopamine uptake levels was observed in the ventral striatum
of both age groups, this suggests that the lack of recovery in the
dorsal striatum of middle-aged mice is not attributable to greater
damage of the ventral striatum. We found, in fact, that the inability
of older mice to support collateral axonal outgrowth after MPTP lesion
was best correlated with the lack of sustained induction of IL-1
synthesis in the dorsal and ventral striatum. Young mice displayed a
maximal four- to fivefold greater induction of IL-1 mRNA for an
extended period of time in both the dorsal and ventral striatum
compared with that in middle-aged mice, thus suggesting that IL-1
could play an important role in MPTP-induced plasticity of dopaminergic
neurons.
Role for IL-1 in compensatory dopaminergic sprouting
after MPTP
The time course of IL-1 induction seen in the dorsal and
ventral striatum of young mice directly correlated with the time period
of MPTP-induced axonal changes. A progressive recovery of dopamine
uptake levels and TH-IR fibers in the dorsal striatum of young mice was
seen between 14 and 30 d after the lesion. Interestingly, our
results show that IL-1 mRNA upregulation began 4-14 d after the lesion in the dorsal striatum that was just before the detectable recovery period. Moreover, a similar induction of IL-1 synthesis, but one lasting for much longer periods, up to 30 d after the lesion, was also observed in the ventral striatum of young mice. However, in MPTP-treated middle-aged mice, the induction of IL-1 mRNA was only seen for the first 8 d in the dorsal striatum and not at all in the ventral striatum. The long-lasting upregulation of
IL-1 found both in the dorsal and ventral striatum of young mice
after MPTP treatment suggests a role for IL-1 in eliciting, propagating, or maintaining dopaminergic axonal-sprouting
processes.
Our demonstration of IL-1 expression in GFAP-IR hypertrophied
astrocytes and striatal neurons indicates that these cells were the
predominant source of increased IL-1 expression in the denervated
striatum after MPTP treatment. Because we did not find IL-1
expression in Mac-1-IR microglial cells, this suggests that the
induction of IL-1 in the denervated striatum after MPTP treatment is
not occurring within activated microglia but rather in astroglia. The
astroglial production of IL-1 demonstrates a functional role of
reactive astrocytes in repair processes but, more importantly, extends
their contribution to immunological processes in neurodegenerative disease. We found that striatal neurons also have the capacity to react
to MPTP-induced injury by increased IL-1 expression. This expression in
striatal neurons could be a consequence of MPTP effects to the
denervated afferent projections connected with the lesioned area.
Neurons have been implicated to function as a source of cytokines
(Breder et al., 1988 ; Lechan et al., 1990 ; Tchelingerian et al., 1993 );
however, the role of cytokine production in neuronal cell types
associated with neurodegenerative disease has not been described. The
data presented open a new perspective on neuron-astroglia
interactions associated with the cytokine network during brain function
and neurodegeneration.
A striking observation was that activation of IL-1 in response to
MPTP is region specific. We found that although a glial reaction
accompanied the dopaminergic cell loss in the midbrain, activation of
IL-1 mRNA was not observed in the midbrain in either age group. In
fact, middle-aged mice displayed a significant downregulation of
IL-1 mRNA in the midbrain after MPTP treatment. This finding suggests that the midbrain elicits a different inflammatory mechanism that is independent of IL-1 activation.
IL-1 effects on dopaminergic axonal sprouting after MPTP
treatment may not be indirectly mediated via stimulating enhanced astroglial synthesis of dopaminergic neurotrophic factors as originally hypothesized. We have described here that the induction of IL-1 mRNA
in young mice after MPTP treatment was not accompanied by a secondary
induction of astroglia-derived factors such as aFGF, bFGF, or GDNF
synthesis; however, we cannot exclude the possibility that protein
levels may be altered. This finding suggests that the synthesis of
these dopaminergic neurotrophic factors was not critical for the
lesion-induced plasticity of dopaminergic neurons. Our results are
different from data reported by Leonard et al. (1993) in which both
aFGF and bFGF mRNAs were found to increase in the denervated striatum
at 1 week after the lesion. This difference in results could be a
consequence of strain differences or of the dosage of MPTP administered
(Sundström et al., 1987 ). The upregulation of these factors was
reported in Swiss-webster mice that have been shown to be particularly
resistant to MPTP toxicity (Sundström et al., 1987 ; Leonard et
al., 1993 ). MPTP toxicity was shown to be restricted only to fiber
damage with no degeneration of dopaminergic neurons in Swiss-webster
mice, whereas the C57BL/6 strain, which we have used, was shown to
display a marked loss of dopaminergic neurons in response to MPTP
(Leonard et al., 1993 ).
In contrast to our original hypothesis that dopaminergic trophic
factors could mediate IL-1 lesion-induced plasticity of dopaminergic
neurons, IL-1 may act directly on dopaminergic cells. It has been
suggested that IL-1 may act as a target-derived neurotrophic factor
because autoradiography studies have shown a distribution of IL-1
receptor binding in the SN (Farrar et al., 1987 ; Akaneya et al., 1995 ).
Our double-labeling experiments revealed that IL-1 receptor expression
was found within TH-IR cell bodies lying both in the SN and VTA. We
found that after MPTP treatment, IL-1 receptor expression remained
within TH-IR cell bodies particularly in the VTA and in some TH-IR cell
bodies scattered in the SN. This finding provides further evidence of a
direct effect of IL-1 on dopaminergic cells. Inhibiting the action
of IL-1 by blocking its receptor via the administration of IL-1
receptor antagonist could be helpful to assess whether IL-1 is
responsible for spontaneous dopaminergic sprouting in young mice after
MPTP treatment.
Aging and neurodegeneration
The decline in IL-1 activation in middle-aged mice seems
to depend on the nature of the injury, considering that IL-1 was found to be induced to a greater extent after intrastriatal stab wound
injury. This finding suggests that MPTP propagates a differential immune reaction as the brain ages that could lead to the attenuated recovery. Hence, understanding immunological responses differing between young and aged brain is of great importance, especially regarding neural transplants for the treatment of PD. Grafting dopamine-producing tissues such as adrenal medullary chromaffin cells
or fetal ventral mesencephalon into the striatum of animal models of PD
and parkinsonian patients have been shown to induce a compensatory
sprouting response from residual host neurons and to ameliorate some
motor deficits (Bohn et al., 1987 ; Fiandaca et al., 1988 ; Lindvall,
1989 ; Bankiewicz et al., 1991 ). However, such benefits are greatly
diminished in aged animals (Date et al., 1989 , 1994 ). The mechanism of
recovery has been difficult to interpret because of limited survival of
implanted cells and tissues (Bankiewicz et al., 1988 ; Fiandaca et al.,
1988 ). Interestingly, it was shown that trauma (cavitation) alone in
the striatum promotes a similar functional recovery in hemiparkinsonian
monkeys, suggesting the presence of neurite-promoting factors as a
result of the trauma (Plunkett et al., 1990 ). Inflammatory cells and
reactive glia around the grafts have been implicated to mediate the
transplantation-induced compensatory sprouting when intrastriatal
implantation of microglia or activated leukocytes was shown to promote
functional recovery (Wang et al., 1991 ; Ewing et al., 1992 ). Further
investigation determined that a key mediator of inflammation in the
brain, IL-1, was the potential component through which neural
transplants exert their growth-promoting effects in parkinsonian
animals (Wang et al., 1994 ). In light of these findings, here we report
that although middle-aged mice showed a faster glial reaction compared
with that in young mice after MPTP treatment, the ability to induce IL-1 dramatically declined with age. Such age-related alterations in
inflammatory reaction could explain the decrease in neurite-promoting activities and the functional recovery after transplantation of cells
in parkinsonian aged animals.
In conclusion, the present experiments demonstrated that (1)
induction of IL-1 mRNA in the dorsal and ventral striatum is associated with compensatory dopaminergic sprouting, (2) induction of
IL-1 mRNA is region specific and varies with age in response to
MPTP, and (3) IL-1 neurotrophic actions on axonal sprouting may be
directly acting on dopaminergic neurons. Investigating the regulation
of IL-1 and its interactions with other factors, substrates, and
extracellular matrix molecules could lead to a better understanding of
factors attenuating neuronal plasticity in the aging brain and to
therapeutic approaches to treating neurodegenerative disorders.
 |
FOOTNOTES |
Received Feb. 10, 1998; revised May 22, 1998; accepted May 25, 1998.
This work was supported by National Institutes of Health Grant
AG-08538. We are grateful to Brett M. Morrison for his help with the
confocal images and Andrew Leonard for his help with the figures. We
thank Esther García de Yébenes, Patrick R. Hof, Jeremy
Kay, and Marie Zurich for their critical review of this manuscript.
Correspondence should be addressed to Dr. Mariann Blum, Fishberg
Research Center for Neurobiology, Mount Sinai School of Medicine, One
Gustave L. Levy Place, Box 1065, New York, New York 10029
 |
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